Abstract

URINARY TRACT INFECTION IN A POSTMENOPAUSAL DIABETIC WOMAN: A CONTROVERSIAL CASE OF ANTIMICROBIAL SUSCEPTIBILITY

Aleen Samer Saadeh*, Angela Samer Saadeh, Rajwa Daowd Jbeily and Nawaf M. Mouzaffar

ABSTRACT

Urinary tract infections (UTIs), which damage the kidneys, bladder, ureters, and urethra, are brought on by bacteria that grow in urine. Urinary tract infections are more likely to occur in women with diabetes. The patient in this case is a 58-year-old postmenopausal lady who had abrupt onset dysuria with burning when she urinated and increasing frequency, along with uncontrolled type 1 diabetes and hypertension. This case highlights shortcomings in the initial management strategy for conducting required clinical laboratory procedures, including urine collection, detailed report (DR), and culture and sensitivity (C/S), and testing for plasma glucose to start antimicrobial therapy. Diabetic individuals who experience dysuria, frequent urination, or pelvic pain should receive specific treatment for
urinary tract infections. When a patient first develops symptoms, antibiotic treatment for UTIs should always start with a culture and sensitivity analysis. In order to obtain the intended therapeutic effects, comorbidities must be adequately treated during treatment.

Keywords: Diabetes mellitus, menopause, urinary tract infection, and cultural sensitivity